Healthcare Provider Details
I. General information
NPI: 1043215619
Provider Name (Legal Business Name): WOMEN'S HEALTH ASSOCIATES OF WESTERN MA INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2005
Last Update Date: 01/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 SPRINGFIELD RD STE 2
WESTFIELD MA
01085-1884
US
IV. Provider business mailing address
65 SPRINGFIELD RD STE 2
WESTFIELD MA
01085-1884
US
V. Phone/Fax
- Phone: 413-562-8306
- Fax: 413-568-5678
- Phone: 413-562-8306
- Fax: 413-568-5678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
S
WOOL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 413-562-8306